| NPI | 1225486855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008572) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5008572) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5008572) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-03-07 |